优化关节营养实践:药剂师领导的质量改进计划对处方模式和工作效率效率的影响
Haili Shan1, Wei Hu1, Yulu Hong2
1Department of Pharmacy, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Nutrition (Burbank, Los Angeles County, Calif.)
|August 2, 2025
概括
一个由药剂师领导的项目显著改善了亲肠道营养 (PN) 药物使用. 这一举措优化了PN订单,减少了不正确的使用,提高了医务人员的效率.
科学领域:
- 临床药房 临床药房
- 营养支持 营养支持
- 改善医疗保健 改善医疗保健
背景情况:
- 肠胃营养 (PN) 是至关重要的,但经常被滥用.
- 药剂师是确保药物的合理应用的关键.
- 这项研究评估了一项由药剂师领导的项目,以优化PN药物使用.
研究的目的:
- 评估药剂师主导干预措施对关节营养药物的合理使用的影响.
- 评估参与PN订单管理的医生和药剂师的工作效率的提高.
主要方法:
- 一个由药剂师领导的计划从2022-2023年开始实施,涉及人员培训,流程标准化和IT增强.
- 从电子医疗记录中分析了400个肠胃营养指令 (200个干预前,200个干预后).
- 根据给药和营养成分组成来评估合理性,并根据订单设计,储存和审查所花费的时间来衡量工作效率.
主要成果:
- 营养添加剂总量 (TNA) 的订单显著增加 (18.5%至73.5%),而多瓶系统 (MBS) 则下降 (73.0%至1.5%).
- 不正确的PN使用率从53.3%下降到0%,多室袋 (MCB) 的使用率增加.
- 医生和药剂师处理订单的时间大幅减少,提高了工作效率.
结论:
- 一种由药剂师领导的多学科方法有效地提高了对肠道营养药物的适当使用.
- 干预措施显著提高了PN订单和营养成分组成的合理性.
- 这一策略还导致了参与PN管理的医疗保健专业人员的工作效率的大幅提高.
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